Mine was two fold, 1: that I was taking five shots a day for my diabetes(living in the 250 to 350 blood sugar range) and was still gaining weight, 2: at work I was on an elevator and one of my fellow employees asked when I was going to have my baby, I am a male by the way, when I told her that wasn't very nice she just laughed. That had happened many times before and that time just put me over the edge, dieting had never really worked long term so Lap Band was the way to go and I am glad I did it.